State of Arkansas

NPI #1285655472 in Booneville, Arkansas

Provider Information

NPI Number
1285655472
Entity Type
Organization
Organization Name
State of Arkansas
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF ARKANSAS
Primary Specialty
Home Health
Enumeration Date
Jul 22, 2006
Last Updated
Oct 10, 2008

Practice Location

Address
721 WEST 1ST STREET
Address 2
LOGAN COUNTY HEALTH UNIT
ZIP Code
72927-4567
Phone
(479) 675-4370

Authorized Official

Name
MARILYN EVANS, RN
Title
HOME HEALTH ADMINISTRATOR
Phone
(501) 661-2540

Specialties & Taxonomy Codes

Specialty
Home Health

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